Modification of the periodontal phenotype by minimally invasive technique
DOI:
https://doi.org/10.21270/archi.v10i5.4982Keywords:
Periodontics, Gingival Recession, Esthetics, DentalAbstract
The objective of this study was to describe the smile modulation through the tunneling technique with connective tissue graft in the Miller class I root cover. A 24-year-old male patient was referred to the treatment of gingival recession found in the clinical and radiographic examination in element 23, whose height of 2 mm, width of 3 mm and keratinized mucosa of 2 mm. In the consultation, it was chosen to cover it with tunnelled subepithelial tissue graft. Local anesthesia and intra-sulcular incision were performed to be able to subsequently remove the gingiva. With the tunelizador, a muco-periosteal tunnel was prepared and mechanical therapy was performed with Gracey 5/6 curette and chemistry with 10% citric Acid for 3 min, to enable the graft adequacy. The 1.5 mm thick graft was removed from the palate in a linear incision, between the distal element 13 and mesial element 16, 3 mm away from the gingival margin. The tissue was positioned at the site of the recession and maintained by sutures. Cement was made surgical, it was advised not to sanitize the region and to perform a mouthwash with 0.11% Chlorhexidine Digluconate. Adequate planning associated with an excellent execution and predictability technique were fundamental tools for success in the complete coverage of recession and increase of keratinized mucosa.
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